Individual
CAROL L LEVINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 SALEM AVE, DAYTON, OH 45406
(937) 278-8645
(937) 278-8579
Mailing address
P O BOX 1144, DAYTON, OH 45401
(937) 259-9900
(937) 259-9999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048948
—
OH
Enumeration date
04/21/2006
Last updated
07/08/2007
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